TY - JOUR
T1 - Opportunities for disease state management in prostate cancer
AU - Pickard, A. Simon
AU - Hung, Shih Ying
AU - McKoy, June M.
AU - Witt, Whitney P.
AU - Arseven, Adnan
AU - Sharifi, Roohollah
AU - Wu, Zhigang
AU - Knight, Sara J.
AU - McWilliams, Norene
AU - Schumock, Glen T.
AU - Bennett, Charles L.
PY - 2005/8
Y1 - 2005/8
N2 - In this paper, we examine how the management of prostate cancer lends itself to a disease state management (DSM)-based approach, and propose a framework that emphasizes the patient-provider-caregiver triad in managing the long-term implications of the condition. There is often no clearly superior approach to the management of patients with prostate cancer (eg, watchful waiting and hormonal therapy), and each option entails different trade-offs in quality of life. Ideally, the physician and patient discuss the options, issues, and patient preferences for treatment through the shared decision-making process. A family caregiver such as the spouse of the patient is often involved in the treatment decision and in the long-term management of the cancer experience. In order to develop a DSM program supporting both patient and caregiver, educational, psychosocial, and health care system support needs should be tailored to each phase of cancer treatment/management. To embrace the unique aspects of prostate cancer management, the proposed framework emphasizes communication among the patient-caregiver-provider triad, inclusion of family caregivers in the program, cancer phase-specific support, and psychosocial services as a basis for implementation and evaluation of a DSM program in prostate cancer.
AB - In this paper, we examine how the management of prostate cancer lends itself to a disease state management (DSM)-based approach, and propose a framework that emphasizes the patient-provider-caregiver triad in managing the long-term implications of the condition. There is often no clearly superior approach to the management of patients with prostate cancer (eg, watchful waiting and hormonal therapy), and each option entails different trade-offs in quality of life. Ideally, the physician and patient discuss the options, issues, and patient preferences for treatment through the shared decision-making process. A family caregiver such as the spouse of the patient is often involved in the treatment decision and in the long-term management of the cancer experience. In order to develop a DSM program supporting both patient and caregiver, educational, psychosocial, and health care system support needs should be tailored to each phase of cancer treatment/management. To embrace the unique aspects of prostate cancer management, the proposed framework emphasizes communication among the patient-caregiver-provider triad, inclusion of family caregivers in the program, cancer phase-specific support, and psychosocial services as a basis for implementation and evaluation of a DSM program in prostate cancer.
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U2 - 10.1089/dis.2005.8.235
DO - 10.1089/dis.2005.8.235
M3 - Article
C2 - 16117718
AN - SCOPUS:24944573694
VL - 8
SP - 235
EP - 244
JO - Population Health Management
JF - Population Health Management
SN - 1942-7891
IS - 4
ER -